About US
Our Team
Our team is currently made up of two dedicated nurse practitioners, Mandy and Lauren.
Between them they share more than 20 years of nursing experience. They pride themselves on being thorough, compassionate, and caring. In the midst of the Covid 19 pandemic and shutdowns, health and wellness became their personal focal point to prevent chronic disease, reduce obesity rates, and encourage patients to get active. Vital Balance Wellness, LLC started to become a dream in 2023. As ideas turned into plans, and plans turned into actions, they decided to provide a place to promote wellness and weight loss services. A place patients could go to get attentive, compassionate and focused care to achieve their wellness goals, and be at their best!
Mandy Ralph, FNP-C
In 2010, Mandy graduated with her RN, BSN from University of Texas Health Science Center in San Antonio. Her nursing career began in Med/Surg, Labor and Delivery, Postpartum, and newborn nursery care. In 2017, she graduated from UT Health with her Master's in Nursing and has since worked in Family Medicine. She prides herself in providing compassionate care, listening to patient's needs, and treating the "whole patient". After working hard to achieve her own personal wellness goals, she enjoys helping patients to do the same through individualized care and education! Mandy has lived in Medina County her entire life and loves giving back to the community where she grew up! In her spare time, Mandy enjoys spending time with her husband, children, and grandbabies, traveling and hiking.
Lauren Rothe, FNP-C
A proud member of the Fightin' Texas Aggie Class of 2007, Lauren graduated with a bachelor's degree in Biomedical Science. Soon followed by her nursing degree in 2010, she started out as an RN in orthopedics and med/surg. After seeing an NP in action, she knew this is what she wanted to do next and in 2014 graduated with her Master's in Nursing from Walden University. Lauren is proud to provide compassionate, understanding, and patient centered care. She believes patient education is one of the best tools a medical provider can give to a patient to improve their health and quality of life. Lauren grew up in Hondo and after college soon moved back to the area. When not working, she is busy keeping up with her three kids and her husband. She also enjoys traveling and time with friends.
